NPIMap

Organization Active NPI

New Mexico Department of Health

Doing business as Department of Health Immunization

  • Public Health or Welfare Agency
  • Santa Fe, NM
National Provider Identifier
1578609459
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NEW MEXICO DEPARTMENT OF HEALTH
Doing business as
Department of Health Immunization
NMDOH Immunization
Practice address
1190 S Saint Francis Dr
Santa Fe, NM 87505-4173
Phone
(505) 827-2465
Fax
(505) 827-2465
NPI assigned
Jan 29, 2007
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEW MEXICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Romero
Title
Immunization Program Manager
Phone
(505) 827-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

1190 S Saint Francis Dr
Santa Fe, NM 87505-4173

Mailing address

PO Box 26110
Santa Fe, NM 87502-0110
Phone (505) 827-2465

Other names 2

  • Department of Health Immunization Doing business as
  • NMDOH Immunization Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110118000115 NM Part B Supplier - Clinic/Group Practice 1052210689 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roswell, NM; Truth Or Consequence, NM; Santa Clara, NM; Las Vegas, NM
O20160906000790 NM Part B Supplier - Mass Immunization (Roster Biller Only) 1052210689 Practice locations: Santa Fe, NM

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Department of Health Public Health Division

Locations

515 W High St
Grants, NM 87020
Phone (505) 285-4601

1190 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 827-0015

1190 S Saint Francis Dr
#S1250
Santa Fe, NM 87505

310 S 2nd St
Tucumcari, NM 88401
Phone (405) 461-7877

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Mexico State Veteran's HomeTruth Or Consequences, NM, CCN 325092 Skilled nursing facility Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024
Sep 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • State of New Mexico

    dba New Mexico State Veterans Home

    • Assisted Living Facility
    • Truth Or Consequences, NM
    • NPI 1942287370

    Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1578609459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26110",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875020110",
            "telephone_number": "505-827-2465",
            "fax_number": "505-827-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054173",
            "telephone_number": "505-827-2465",
            "fax_number": "505-827-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW MEXICO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "IMMUNIZATION PROGRAM MANAGER",
        "authorized_official_telephone_number": "505-827-2465"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Health Immunization",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NMDOH Immunization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.